ISSN 1016-5169 | E-ISSN 1308-4488
Archives of the Turkish Society of Cardiology
A Case Who Benefited From Cardiac Resynchronization Therapy [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2004; 32(1): 44-51

A Case Who Benefited From Cardiac Resynchronization Therapy

Erdem DİKER1, Deniz ŞAHİN1, Telat KELEŞ1, Hülya ÇİÇEKÇİOĞLU1, Kadir POLAT2, Alper CANBAY1, Sinan AYDOĞDU1

Cardiac resynchronization therapy is a novel non-pharmacological treatment approach in the treatment of heart failure. Previous studies proved the safety and efficacy of this treatment. The selection of the most suitable candidate for cardiac resynchronization therapy is a crucial issue and still a matter of debate. Variable clinical, electrocardiographic and echocardiographic criteria have been proposed for appropriately selecting candidates for this therapy. Unfortunately, we still do not have satisfactory selection criteria set, which determines patients who will mostly benefit from this therapy. In this case report, we present a 60-year-old woman with dilated cardiomyopathy, who underwent atriobiventricular pacemaker implantation for cardiac resynchronization therapy. This patient would presumebly benefit from this therapy due to long (180 ms) QRS duration, long (170 ms) PQ duration, long ( 380 ms) mitral regurgitation duration and reltively long (> 130 ms) septum-posterior wall motion delay. As expected, symptoms, functional class and exercise capacity improved dramatically after therapy and it is shown that this improvement is not a placebo effect. We discussed which patient will benefit mostly from cardiac resynchronization therapy. (Türk Kardiyol Dern Arş 2004; 32: 44-51)

Keywords: Cardiac resynchronization therapy, atriobiventricular pacing, chronic heart failure

How to cite this article
Erdem DİKER, Deniz ŞAHİN, Telat KELEŞ, Hülya ÇİÇEKÇİOĞLU, Kadir POLAT, Alper CANBAY, Sinan AYDOĞDU. A Case Who Benefited From Cardiac Resynchronization Therapy. Turk Kardiyol Dern Ars. 2004; 32(1): 44-51
Manuscript Language: Turkish

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